CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(06): E769-E775
DOI: 10.1055/a-1804-0094
Original article

Badge sign-in and report cards improve first case start times in gastrointestinal endoscopy: A prospective quality improvement study

Karina Hiroshige
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Alyssa Ferrer
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Stephanie Chi
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Brittany Steineke
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
David Hersch
2   Department of Anesthesia, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Jessica Goldbeck
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Megan Stiles
1   Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Devina Adam Azeez
3   Perioperative Services, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Karen Tuzzolo
3   Perioperative Services, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Dolores Reisert
3   Perioperative Services, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Maureen Fitzpatrick
3   Perioperative Services, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
,
Arvind J. Trindade
4   Division of Gastroenterology, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States
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Abstract

Background and study aims First case start (FCS) time is often a key metric used to gauge efficiency in an endoscopy suite. There are limited data on tools and methods to improve the FCS time in the endoscopy suite.

Methods A prospective observational cohort study was conducted in an academic tertiary care endoscopy suite examining the effect of badge sign-in (Period 2) and badge sign-in coupled with report cards (Period 3) compared to an initial observational period (Period 1).

Results After the badge sign-in reader was introduced in P2, the unit experienced a mean time savings of 5 ± 18 minutes in FCS delays compared to P1 (P = .03). In P3, an 8 ± 17-minute time savings in FCS time delay was observed compared to P1 (P = 0.0006). Sign-in compliance significantly increased for the overall unit between P2 and P3 (49 % vs. 59 %, P = .002). Increases in first case on-time start (FCOTS) rates compared to P1 were observed for the unit, with a 14% absolute increase in P2 (P < .0001) and a 17 % absolute increase in P3 (P < .0001). FCS delays for on-time badge sign-ins were significantly lower compared to FCS delays for missed badge sign-ins and late badge sign-ins (P < .0001).

Conclusions The use of badge sign-in and report cards improve endoscopy unit efficiency as it can increase FCOTS rates and decrease FCS time delays.

Supplementary material



Publication History

Received: 19 July 2021

Accepted after revision: 24 November 2021

Article published online:
10 June 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Yong E, Zenkova O, Saibil F. et al. Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times. Gastrointest Endosc 2006; 64: 760-764
    CrossrefPubMedSearch in Google Scholar
  • 2 Yang D, Summerlee R, Suarez AL. et al. Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center. Endosc Int open 2016; 4: E143-E148
    PubMedSearch in Google Scholar
  • 3 Wright JG, Roche A, Khoury AE. Improving on-time surgical starts in an operating room. Can J Surg 2010; 53: 167-170
    PubMedSearch in Google Scholar
  • 4 Phieffer L, Hefner JL, Rahmanian A. et al. Improving operating room efficiency: first case on-time start project. J Healthc Qual 2017; 39: e70-e78
    CrossrefPubMedSearch in Google Scholar
  • 5 Kane WJ, Shilling AM, Schroen AT. A surgeon badge or text message sign-in intervention improves operating room start efficiency. J Surg Res 2021; 264: 129-137
    CrossrefPubMedSearch in Google Scholar
  • 6 Tomer G, Choi S, Montalvo A. et al. Improving the timeliness of procedures in a pediatric endoscopy suite. Pediatrics 2014; 133: e428-e433
    CrossrefPubMedSearch in Google Scholar
  • 7 Collar RM, Shuman AG, Feiner S. et al. Lean management in academic surgery. J Am Coll Surg 2012; 214: 928-9366
    CrossrefPubMedSearch in Google Scholar
  • 8 Halim UA, Khan MA, Ali AM. Strategies to improve start time in the operating theatre: a systematic review. J Med Syst 2018; 42: 160
    CrossrefPubMedSearch in Google Scholar
  • 9 Harewood GC, Chrysostomou K, Himy N. et al. A “time-and-motion” study of endoscopic practice: strategies to enhance efficiency. Gastrointest Endosc 2008; 68: 1043-1050
    CrossrefPubMedSearch in Google Scholar
  • 10 Keswani RN, Yadlapati R, Gleason KM. et al. Physician report cards and implementing standards of practice are both significantly associated with improved screening colonoscopy quality. Am J Gastroenterol 2015; 110: 1134-1139
    CrossrefPubMedSearch in Google Scholar
  • 11 Duloy AM, Kaltenbach TR, Wood M. et al. Colon polypectomy report card improves polypectomy competency: results of a prospective quality improvement study (with video). Gastrointest Endosc 2019; 89: 1212-1221
    CrossrefPubMedSearch in Google Scholar
  • 12 Kahi CJ, Ballard D, Shah AS. et al. Impact of a quarterly report card on colonoscopy quality measures. Gastrointest Endosc 2013; 77: 925-931
    CrossrefPubMedSearch in Google Scholar
  • 13 Weinbroum AA, Ekstein P, Ezri T. Efficiency of the operating room suite. Am J Surg 2003; 185: 244-250
    CrossrefPubMedSearch in Google Scholar
  • 14 Pashankar DS, Zhao AM, Bathrick R. et al. A quality improvement project to improve first case on-time starts in the pediatric operating room. Pediatr Qual Saf 2020; 5: e305
    CrossrefPubMedSearch in Google Scholar
  • 15 Childers CP, Maggard-Gibbons M. Understanding costs of care in the operating room. JAMA Surg 2018; 153: e176233
    CrossrefPubMedSearch in Google Scholar